Active NPI
Daniel Lee Whitaker, CRNA
- Certified Registered Nurse Anesthetist
- Evansville, IN
National Provider Identifier
1912992124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28069763A
- Practice address
- 600 Mary St
Evansville, IN 47710-1674 - Phone
- (812) 450-2240
- Fax
- (812) 450-2710
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28069763A | IN | Primary |
Addresses
Primary practice location
600 Mary St
Evansville, IN 47710-1674
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-2240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100383050 | Medicaid | IN | |
| 000000249974 | Other | IN | SIA ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliable Anesthezia and Pain Management Services PSC | Past | Accepting new patients | |
| Monroe Physicians Group | Past | Accepting new patients | |
| Amsol Anesthetists of Indiana LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jackson County Schneck Memorial Hospital | Past | Accepting new patients | |
| Southern Indiana Anesthesiology | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Care of Bloomington PC | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Bloomington, IN
- NPI 1992988224
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1093990541
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1588863534
-
- Anesthesiology Physician
- Martinsville, IN
- NPI 1356414197
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1548255615
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1912992124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101674",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "DANIEL",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28069763A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100383050",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIA ANTHEM",
"identifier": "000000249974",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.